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Download Number Form Name Effective Date
FAA-0098B Verbal Appeals Request 03/01/2020
DDD-1535A Authorization for Disclosure of Protected Health Information 02/01/2020
DDD-1500A ALTCS Member Service Plan 02/01/2020
FCT-1001A Acknowledgment of Tribal Consultation Request 02/01/2020
DDD-1530A Managed Risk Agreement Services and/or Placement 02/01/2020
DDD-1309B AHCCCS/ALTCS/DDD Member Contingency/Back-up Plan 02/01/2020
CSE-1157A Non-Custodial Parent Request for Administrative Review (Eng/Span) 02/01/2020
DDD-1623A Team Attendance Sheet 02/01/2020
DDD-0219A Action Plan 02/01/2020
GCI-1115A Acknowledgement of Child and Family Rights 02/01/2020

Download Number Form Name Effective Date
SFMNP-WIC-FMNP Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual 02/21/2020
30th Month December 2019 30th Month Financial Report FY 2019 through December 2019 02/14/2020
Statistical Bulletin January 2020 Statistical Bulletin January 2020 02/10/2020
Statistical Bulletin December 2019 Statistical Bulletin December 2019 02/04/2020
6AAC14 Five-Year Review Report - Food Stamps Program 02/04/2020
AZ-CSFP Arizona Commodity Senior Food Program (CSFP) State Plan 01/14/2020
30th Month November 2019 30th Month Financial Report FY 2019 through November 2019 01/07/2020
Annual Report on Homelessness 2019 Annual Report on Homelessness 2019 01/06/2020
2019 Homeless Lottery Funds Report 2019 Homeless Lottery Funds Report 01/06/2020
Five Year Strategic Plan SFY 2020 - 2024 Five Year Strategic Plan SFY 2020 - 2024 12/31/2019

Download Number Form Name Effective Date
CCA Emergency & Disaster Preparedness Plan Child Care Administration Emergency and Disaster Preparedness Plan 09/30/2019
WIO-1064A Joint Guidance for Limitations on Use of Subminimum Wage 07/26/2017
TEFAP Policy and Procedure Manual The Emergency Food Assistance Program Policy and Procedure Manual 05/24/2017
DES 1-01-14-01 Director's Office of Equal Opportunity Procedures: Client Complaint Process 02/24/2017
DES 1-01-14 Office of Equal Opportunity: Client Complaints 08/29/2016
DES_1-92-03 Tribal Government Consultation 10/06/2014
DES 1-01-34 Limited English Proficiency 08/08/2014
DES 1-01-12 Americans with Disabilities Act (ADA) Title II 03/15/2013
DES 1-01-12-01S Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades 03/15/2013
DES 1-01-12S Ley de Estadounidenses con Discapacidades - Título II 03/15/2013

Download Number Form Name Effective Date
DDD-0465A Arizona Long Term Care System (ALTCS) Handbook 10/01/2020
FAA-0032A-LP Information Needed to Complete Your Case (English/Spanish - Large Print) 07/01/2020
Legislative District Demographics Arizona Legislative District Demographics Handbook 2018 02/12/2020
RSA-1242A-SLP Transición con la Rehabilitación Vocacional (Letra Grande) 02/01/2020
CSE-1246B Child Support Services Program Overview (Bilingual) 02/01/2020
AAA-1289A Family Caregiver Support Program 02/01/2020
LCR-1036A Life-Safety Inspections 02/01/2020
CSE-1051A How to Apply for IV-D Child Support Services 02/01/2020
CSE-1051A-S Cómo Solicitar Servicios de Sustento para Menores Bajo el Título IV-D 02/01/2020
RSA-1134A What Is Voc Rehabilitation? 02/01/2020


Download Number Form Name Effective Date
DDD-0465A Arizona Long Term Care System (ALTCS) Handbook 10/01/2020
FAA-0032A-LP Information Needed to Complete Your Case (English/Spanish - Large Print) 07/01/2020
FAA-0098B Verbal Appeals Request 03/01/2020
SFMNP-WIC-FMNP Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual 02/21/2020
30th Month December 2019 30th Month Financial Report FY 2019 through December 2019 02/14/2020
Legislative District Demographics Arizona Legislative District Demographics Handbook 2018 02/12/2020
Statistical Bulletin January 2020 Statistical Bulletin January 2020 02/10/2020
Statistical Bulletin December 2019 Statistical Bulletin December 2019 02/04/2020
6AAC14 Five-Year Review Report - Food Stamps Program 02/04/2020
DDD-1309B AHCCCS/ALTCS/DDD Member Contingency/Back-up Plan 02/01/2020

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